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Updated: May 10, 2026
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Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
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Acute kidney injury after robot-assisted laparoscopic prostatectomy: A meta-analysis
Deepak Chandramohan1, Raghunandan Konda1, Ashwini Pujari1
1Department of Internal Medicine/Nephrology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Summary
Robot-assisted laparoscopic prostatectomy (RALP) is associated with a significant rate of acute kidney injury (AKI), affecting 7.2% of patients. Further research is needed to identify AKI risk factors and long-term kidney outcomes post-RALP.
Area of Science:
- Nephrology
- Urology
- Surgical Innovation
Background:
- Investigating the incidence of acute kidney injury (AKI) following robot-assisted laparoscopic prostatectomy (RALP).
- Assessing the clinical significance of AKI in patients undergoing RALP.
Approach:
- Conducted a comprehensive literature search to identify relevant studies on AKI rates post-RALP.
- Employed a random effects model to calculate pooled AKI rates across included studies.
- Analyzed data from 10 studies encompassing 60,937 patients.
Key Points:
- The pooled incidence of AKI after RALP was determined to be 7.2% (95% CI: 19-23.9).
- Patient demographics included a mean age of 65.1 years.
- Surgical parameters such as mean anesthesia time (234.3 min), operation time (212.2 min), estimated blood loss (314.1 mL), and intraoperative IV fluids (1985 mL) were recorded.
Conclusions:
- AKI occurs at a significant rate following RALP.
- Further investigation is warranted to identify specific risk factors contributing to AKI.
- Long-term outcomes, including the incidence of chronic kidney disease post-RALP, require additional study.
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